institution
Diamond Grove Center
Psychiatric Hospital in Louisville, Mississippi
NPI 1447350160

Diamond Grove Center is a Psychiatric Hospital based in Louisville, MS. Diamond Grove Center practices in Louisville, MS. The NPI Number for Diamond Grove Center is 1447350160 and holds a License No. 32-325 (Mississippi).

The current practice location address for Diamond Grove Center is 2311 Highway 15 S, Louisville, MS and can be reached out via phone at 662-779-0119 and via fax at 662-779-0126.

Location: 2311 Highway 15 S, Louisville, MS, 39339-7071
institution
Provider Profile Details
NPI Number
1447350160
Provider Name
Diamond Grove Center
Credential
Provider Entity Type
Organization
Address
2311 Highway 15 S, Louisville, MS, 39339-7071
Phone Number
662-779-0119
Fax Number
662-779-0126
Provider Enumeration Date
09/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00220411 05 MS
000020847 01 MS BLUE CROSS PROVIDER#
00220801 05 MS
institution
Provider Business Practice Location Address Details
Address
2311 Highway 15 S
City
State
Zip
39339-7071
Phone Number
662-779-0119
Fax Number
662-779-0126
person
Provider Business Mailing Address Details
Address
2311 Highway 15 S
City
State
Zip
39339-7071
Phone Number
662-779-0119
Fax Number
662-779-0126
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
License No.
32-325 (Mississippi)
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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